Healthcare Provider Details

I. General information

NPI: 1922466382
Provider Name (Legal Business Name): ZEE'S BEST REHABILITATION HOME FOR SUCCESS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/01/2016
Last Update Date: 09/12/2024
Certification Date: 09/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2747 GRUBER DR
MEMPHIS TN
38127-4819
US

IV. Provider business mailing address

2747 GRUBER DR
MEMPHIS TN
38127-4819
US

V. Phone/Fax

Practice location:
  • Phone: 901-502-2135
  • Fax:
Mailing address:
  • Phone: 901-502-2135
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MS. ZENOBIA POLK
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 901-502-2135